Brief Account
For Encyclope dia Indica Shiaii
Present & Past Shia Periodicals & Newspapers
Please attach passport size photograph
Name of Periodical…………………--------------------------------------------------------------------------------------------------------------------Office Address…………………..-------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------E-mail……….----------------------------------------------------------- Fax……--------------------------------Phone…….-------------------------Present Editor's Name…………………………..--------------------------------------------------------------------------------------------Date of beginning of publication…………………………-------------------------------------------------------------------------Date of closing publication……………………….---------------------------------------------------------------------------------------Years completed, if the publication is continued……………………………………------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Number's & size of pages (usually)………………………….--------------------------------------------------------------------Place(s) of printing and publication…………………………..-------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Name of owner (individual or organization)………………..---------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Names of the first and later editors with names of their fathers………………………………… ……………----------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Date of birth and death of editors and their photographs…………………………………………. --
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------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------How many numbers published, Plz. give their details, dates & publication etc….----------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Source…….----------------------------------------------------------------------------------------------------------------------------------------------------------------Signature
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Date
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Place
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Note:- Plz. attach also a post-card size or larger 'full length' photograph Plz. use separate sheet(s), if necessary
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